Sandra D Thorne, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1894 Issued in MN

Practice address

7760 France Ave S
Office 1118
Edina, MN 55435-5800

Phone

(952) 886-7275

Fax

(952) 886-7273

NPI assigned

Mar 28, 2007

Last updated

Jan 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sandra L Domask Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1417076068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "OFFICE 1118",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-886-7275",
            "fax_number": "952-886-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "OFFICE 1118",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-886-7275",
            "fax_number": "952-886-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "SANDRA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DOMASK",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "M.S., PSYCHOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Douglas Albers Thompson, LPCC
• Michael Christopher Thompson
• Michelle Audrey Thompson, RDN, LDN
• Rachel Thompson, RD
• Vicki Jean Thomson, MD
• Matthew Gerald Thorson, MD
• Three Sixty Health Inc (360 Health Inc)
• Thrive Modern Health P.a.
• Thrivewell Psychology PLLC
• Brian Thyr, M.D.

• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.